Organization
NEUROPHYSIOLOGIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERVIN CABALLES C.N.I.M. (PRESIDENT)
(303) 880-1429
Entity
Organization
Contact information
Practice address
1651 QUEBEC ST, DENVER, CO 80220-1963
(303) 880-1429
(303) 993-8955
Mailing address
1651 QUEBEC ST, DENVER, CO 80220-1963
(303) 880-1429
(303) 993-8955
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
09/28/2009
Last updated
09/28/2009
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